Application Form

Central Community Garden

Central United Methodist Church

6030 Albemarle Rd.

Charlotte, NC  28212

 

Garden membership requires participation in the general maintenance of the shared areas of the community garden.  This includes attending the spring and fall work sessions and assisting in tasks such as mowing, weeding, and repairs.  For more information, please call Plot Administrator Lindsey Moss at 704-756-9334 or email lmruss@live.com .

 

Name:  (Print) _____________________________________________

 

Address:  ___________________________________________

 

City, State, Zip: ______________________________________ 

 

Telephone - Day: ___________  Evening:  ________________

 

Email:  _____________________________________________

 

____  I would like an organic plot if available.

____  Yes, I have read and agree to abide by the CUMC Community Garden Guidelines.

 

Signature:   _____________________________________________

 

Garden fee:  $10.00 (Plot size is 10 ft. x 14 ft.)

 

Please make checks payable to Central United Methodist Church.  This form and your check should be mailed to

 

Central Community Garden

c/o Lindsey Moss

8202 Stevens Mill Road